| NPI | 1164650636 |
|---|---|
| Doing Business As | RANDALL FAMILY CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | GLEN D RANDALL Owner 208-232-0220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-912) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2009-06-23 |